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Individual

MR. GEORGE COURTENAY GLASS IV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT, NCMT, RMT

Contact information

Practice address
801 FLORIDA RD, SUITE 11, DURANGO, CO 81301-4780
(970) 403-5453
Mailing address
24 SUNRIDGE CT, DURANGO, CO 81301-5868
(970) 403-6370

Taxonomy

Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
Primary

Other

Enumeration date
03/31/2011
Last updated
11/29/2012
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